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Organization

TEXAN FAMILY DENTAL GROUP PLLC

Active
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Organization

TEXAN FAMILY DENTAL GROUP PLLC

Active
Other names
Astronaut Dental & Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
LUKE SAMUEL GROTHE (OWNER)
(254) 727-0825
Entity
Organization

Contact information

Practice address
2170 N MAIN ST # C, BELTON, TX 76513-1985
(254) 727-0825
Mailing address
2004 BLUE HERON LN, HARKER HEIGHTS, TX 76548-8678
(254) 727-0825

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
1223P0106X
Oral and Maxillofacial Pathology Dentistry
1223P0221X
Pediatric Dentistry
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
07/24/2026
Last updated
07/24/2026
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